The nurse is conducting a presurgical screening interview with a patient at a local surgical center. When performing a health assessment, the primary source of information should be:
a. the spouse.
b. the medical record.
c. a close relative.
d. the patient.
ANS: D
The primary source from which data are collected is the patient. A secondary source would include a significant other, family members, caregivers, other members of the health team, and medical records.
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Recognizing the high incidence of breast cancer among older adult women, a public health nurse has included the topic in a health promotion teaching session at a senior's center
What should the nurse tell the assembled women about their risk of developing breast cancer? A) "Stopping your hormone replacement therapy can greatly reduce your chance of developing breast cancer.". B) "The substances that you were exposed to during your childbearing years will largely determine your future risks of breast cancer.". C) "Breast cancer appears to be heavily influenced by heredity.". D) "Women who had their children very early in life appear to have an increased risk of breast cancer.".
A recommendation to prevent neural tube defects (NTDs) is the supplementation of what?
a. Vitamin A throughout pregnancy b. Folic acid for all women of childbearing age c. Folic acid during the first and second trimesters of pregnancy d. Multivitamin preparations as soon as pregnancy is suspected
A patient has a normal cardiac rhythm and a heart rate of 72 beats/minute. The nurse determines that the P-R interval is 0.24 seconds. The most appropriate intervention by the nurse would be to
a. notify the health care provider immediately. b. give atropine per agency dysrhythmia protocol. c. prepare the patient for temporary pacemaker insertion. d. document the finding and continue to monitor the patient.
The physician orders intravenous (IV) insulin for the client with a blood sugar of 563. The nurse administers insulin lispro (Humalog) intravenously (IV). What does the best evaluation by the nurse reveal?
1. The nurse used the correct insulin. 2. The nurse should have contacted the physician prior to administration. 3. The nurse should have used regular insulin (Humulin R). 4. The nurse could have given the insulin subcutaneously.